Provider Demographics
NPI:1912976200
Name:KOLLAR, CAROLYN (DO)
Entity Type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:
Last Name:KOLLAR
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1758 BROAD PARK CIR S
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-7822
Mailing Address - Country:US
Mailing Address - Phone:972-780-7330
Mailing Address - Fax:972-780-7385
Practice Address - Street 1:1758 BROAD PARK CIR S
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-7822
Practice Address - Country:US
Practice Address - Phone:972-780-7330
Practice Address - Fax:972-780-7385
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2009-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL9292207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology